Polymyositis & Dermatomyositis Support Group
Polymyositis (PM) is a type of chronic inflammation of the muscles (inflammatory myopathy) related to dermatomyositis and inclusion body myositis. The inflammation is predominantly of the endomysium in polymyositis, whereas dermatomyositis is characterized by primarily perimysial inflammation.
I would get dehydrated with MTX too. I would take my med on a Friday night so that I would have the weekend to feel better before going back to work on Monday. I did have different crummy feelings and mild nausea too. All of my bad feelings did go away after I got used to the med. I stayed on MTX for three years. It does take time to get used to any DMARD. I started on 17.5mg of MTX and I later moved up to 20mg my second year. In my case, I found that for me it is better to start at a lower dosage and move up the dosage slowly to get used to the med.